Tella, Manjula
Tella, Manjula is an individual health care provider with primary practice located at 2735 N Clarkson St , Fremont NE 68025-7717. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Tella, Manjula can be contacted via phone (402) 727-9992.Contact Information
Primary practice address
2735 N Clarkson St
Fremont NE 68025-7717
Phone: (402) 727-9992
Fax: (402) 727-7029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 18925 | Nebraska |
Profile Details
| NPI number | 1811050644 |
|---|---|
| LBN Legal business name | Tella, Manjula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811050644 | NPPES |
| Nebraska | MEDICAID | 47081644800 | |
| Nebraska | Other | 30003 |
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